Crowdfunding for Gender-Affirming Mastectomy: Balancing Fundraising With Loss of Privacy
In this study, we analyze the impact of Medicaid insurance coverage on gender-affirming mastectomy campaigns posted on GoFundMe.com. Methods Between March 1 and 12, 2021, we accessed GoFundMe.com to analyze available campaigns requesting monetary contributions for gender-affirming mastectomy. Campaigns were identified using the search term “top surgery” followed by the state's name. Duplicate campaigns, campaigns whose primary goal was not gender-affirming mastectomy, and ongoing campaigns were excluded. Campaigns were then categorized according to their state's coverage of gender-affirming surgery: explicit exc...
Source: Annals of Plastic Surgery - March 28, 2022 Category: Cosmetic Surgery Tags: Circumspectus Medicinae: Texts and Context Source Type: research

Chaperone Use During Plastic Surgery Physical Examinations: Nationwide Provider Practices and Impact of Level of Training
Background Medical chaperones often play an important role during physical examinations, providing patient comfort and serving as medicolegal witness. The purpose of this study was to evaluate and compare practices regarding chaperone use by plastic surgery attendings and trainees. Methods A voluntary survey was distributed to members of the American Council of Academic Plastic Surgeons. The survey included a standardized set of questions regarding physician demographics, nature of practice training, and current practices pertaining to chaperone use. Data were analyzed in a descriptive fashion. Ordinal logistic ...
Source: Annals of Plastic Surgery - March 28, 2022 Category: Cosmetic Surgery Tags: Circumspectus Medicinae: Texts and Context Source Type: research

Commentary on Improving Sexual and Gender Minority Care in Plastic Surgery: Reply
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - March 28, 2022 Category: Cosmetic Surgery Tags: Editorials Source Type: research

Commentary on Improving Sexual and Gender Minority Care in Plastic Care
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - March 28, 2022 Category: Cosmetic Surgery Tags: Editorials Source Type: research

Confronting the Applicant’s Research Arms Race Without Dedicated Research Time
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - March 28, 2022 Category: Cosmetic Surgery Tags: Editorials Source Type: research

Invited Commentary from the Authors of: Asaad M. The Evolving Trends in the Impact Factor of Plastic Surgery Journals: A 22-Year Analysis
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - February 8, 2022 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

Letter to the Editor: Asaad M, et al. The Evolving Trends in the Impact Factor of Plastic Surgery Journals: A 22-Year Analysis (Ann Plast Surg. 2021;86:329–334)
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - February 8, 2022 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

A Systematic Review of Breast Reconstruction Options After Mastectomy in Massive Weight Loss Patients
This article provides a summary of expected outcomes, including complication profiles. Ultimately, consideration should be given for breast reconstruction of mastectomy defects in patients with a history of massive weight loss, as satisfactory results are demonstrated to be possible. Both autologous reconstruction and implant-based reconstruction present feasible options, although reconstruction in this patient population may be associated with increased need for revisions and a higher complication rate compared with patients without a history of massive weight loss. For this reason, it is imperative to appropriately manag...
Source: Annals of Plastic Surgery - February 8, 2022 Category: Cosmetic Surgery Tags: Review Paper Source Type: research

Long-term Effects of Repeated Botulinum Toxin Injection in Cosmetic Therapeutics
Conclusion The current body of knowledge on the long-term results after repeated cosmetic BT injections is very limited, and the available literature provides insufficient evidence on how prolonged effects could alter clinical use of BT. Further clinical studies with extended follow-up periods with inclusion of both subjective and objective measured outcomes of appearance and muscle function are required to better understand the long-term impacts of repeated BT injections. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - February 8, 2022 Category: Cosmetic Surgery Tags: Review Paper Source Type: research

Two Decades of Hand Transplantation: A Systematic Review of Outcomes
This study found that hand transplantation provides significant restoration of function and form, especially for proximal transplants. Reduction in complications, such as rejection and amputation, can be achieved by decreasing medication cost and patient education. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - February 8, 2022 Category: Cosmetic Surgery Tags: Transplantation Surgery and Research Source Type: research

Anatomical Location of Lymphatic Pathways in the Posterior Thigh
Conclusions There are 1 or more collecting lymph vessels in the posterior thigh by midlateral thigh ICG injection, which can be addressed for posterior thigh lymphedema. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - February 8, 2022 Category: Cosmetic Surgery Tags: Research Source Type: research

Accuracy of 3 Soft Tissue Prediction Methods After Double-Jaw Orthognathic Surgery in Class III Patients
Purpose We aimed to evaluate the accuracy and validity of conventional manual prediction method (CM) and 2-dimensional and 3-dimensional (3D) soft tissue prediction methods for Class III bimaxillary orthognathic surgery patients. Methods Twenty skeletal Class III patients were included in this study. Soft tissue prediction was achieved with a traditional manual technique, 2-dimensional software (Dolphin Imaging, version 11.5), and 3-dimensional software (SimPlant Master, version 16.0) on preoperative lateral cephalometric radiographs and cone beam computurized tomography (CBCT) images and then compared with post...
Source: Annals of Plastic Surgery - February 8, 2022 Category: Cosmetic Surgery Tags: Research Source Type: research

Diagnostic and Management Considerations in Pediatric Dermatofibrosarcoma Protuberans
Conclusions Pediatric DFSP should be managed by a soft tissue tumor multidisciplinary team, with experienced pathologists and reconstructive surgeons. Where R0 resections are obtained, patients can experience recurrence-free survival. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - February 8, 2022 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

A Single Superior Gluteal Artery Perforator Flap in Reconstruction of Large Midline Sacral Defects: A Method for Practical Harvest and Safe Closure
We present a technique to cover large defects using single SGAP flaps. Methods Large sacral defects (>100 cm2) reconstructed with single SGAP flaps were included. Angle of transposition (45°–60°) was determined based on the tissue laxity and mobility of gluteal area. Perforator identification, intramuscular dissection, or skeletonization was not performed. Outcomes were measured as achieving durable reconstruction, flap viability, and complications. Results There were 17 patients (12 male, 5 females; aged 25–72 years) with different etiologies. The mean flap surface area (136.1 ± 45.6 cm2, between 9 ×...
Source: Annals of Plastic Surgery - February 8, 2022 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Direct Neurotization: Past, Present, and Future Considerations
Direct neurotization is a method that involves direct implantation of nerve fascicles into a target tissue, that is, muscle fibers, skin, cornea, and so on, with the goal of restoring aesthetic, sensation and or functional capacity. This technique has been implemented since the early 1900s, with numerous experimental and clinical reports of success. Applications have included both sensory and motor neurotization of muscle, as well as protective sensory provision for other organs. These techniques have been used to restore corneal sensation, repair brachial plexus injuries, reestablish tongue movement and function through d...
Source: Annals of Plastic Surgery - February 8, 2022 Category: Cosmetic Surgery Tags: Peripheral Nerve Surgery and Research Source Type: research